(last name, first name, middle initial) or Business Account Title and Joint Application Information The Haze Trust Name of Account Tine Joint Applicant (last name, first name, middle initial) Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number _6.306 Red lictatchtarle Address Address .S.1-11S911/1— City, State and Zip Code City, State and Zip Code U.S. Virgin Ist0 00802 Home Telephone Number Nome Telephone Number Business Telephone Number a e of Etirtl ial it- Business Telephone Number Date of Birth Nome of Employer Name of Employer Address, Address Not applicable City. State and Zip Code City. State and Zip Code Notice of Customer Identification Policy Important information To help the government fight the funding of terrorism end money laundering activities. Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who establishes an account, investment or other business relationship with a financial institution. This means that we will ask for your name, address, and other information that will allow us to identity you. We may also ask to see identifying documents such as a certificate of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid In the fight against money laundering and terrorist financing: these rules cantor an active involvement of both asset management firms and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities. addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money laundering requirements require that should a